▸ Hospital · AZ · CCN 030110

ABRAZO WEST CAMPUS

13677 WEST MCDOWELL ROAD, GOODYEAR, AZ, 85395

207 bedsAcute Care Hospitals4

Compliance grade

89/100

Procedures tracked

185

of 209 target codes

Payers

with negotiated rates

Rates published

1,882

last crawl 2026-05-22

▸ Compare with other hospitals All AZ hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://ochsner-craft.s3.amazonaws.com/core/720502505_ochsner-clinic-foundation_standardcharges.csv_2026-03-26-204318_iros.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	$116,056	$25,532	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$201	$44.22	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$176	$38.72	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$201	$44.22	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$268	$58.96	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$335	$73.7	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$176	$38.72	—	—	—
emergency
ED visit level 1	CPT	99281	0	$633	$139.26	—	—	—
ED visit level 2	CPT	99282	0	$697	$153.34	—	—	—
ED visit level 3	CPT	99283	0	$1,107	$243.54	—	—	—
ED visit level 4	CPT	99284	0	$1,926	$423.72	—	—	—
ED visit level 5	CPT	99285	0	$2,119	$466.18	—	—	—
Critical care, first hour	CPT	99291	0	$4,990	$1,097.8	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,071	$235.62	—	—	—
CT head with contrast	CPT	70460	0	$1,642	$361.24	—	—	—
CT head with and without contrast	CPT	70470	0	$2,038	$448.36	—	—	—
CT neck with contrast	CPT	70491	0	$1,733	$381.26	—	—	—
MRI brain without contrast	CPT	70551	0	$2,647	$582.34	—	—	—
MRI brain with contrast	CPT	70552	0	$2,858	$628.76	—	—	—
MRI brain with and without contrast	CPT	70553	0	$3,034	$667.48	—	—	—
Chest X-ray single view	CPT	71045	0	$189	$41.58	—	—	—
Chest X-ray 2 views	CPT	71046	0	$260	$57.2	—	—	—
Chest X-ray 3 views	CPT	71047	0	$260	$57.2	—	—	—
CT chest without contrast	CPT	71250	0	$1,730	$380.6	—	—	—
CT chest with contrast	CPT	71260	0	$2,288	$503.36	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,715	$597.3	—	—	—
MRI chest without contrast	CPT	71550	0	$2,639	$580.58	—	—	—
MRI chest with contrast	CPT	71551	0	$2,849	$626.78	—	—	—
MRI chest with and without contrast	CPT	71552	0	$3,768	$828.96	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$297	$65.34	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,730	$380.6	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,730	$380.6	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,730	$380.6	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,651	$583.22	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$2,648	$582.56	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$2,118	$465.96	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,858	$628.76	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$3,796	$835.12	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$3,796	$835.12	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,734	$381.48	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,526	$335.72	—	—	—
Shoulder X-ray	CPT	73030	0	$488	$107.36	—	—	—
Humerus X-ray	CPT	73060	0	$244	$53.68	—	—	—
Hand X-ray 3 views	CPT	73130	0	$460	$101.2	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$5,280	$1,161.6	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$7,550	$1,661	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$444	$97.68	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$468	$102.96	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$3,164	$696.08	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$7,550	$1,661	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,734	$381.48	—	—	—
CT abdomen with contrast	CPT	74160	0	$2,287	$503.14	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,708	$595.76	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$2,601	$572.22	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$2,288	$503.36	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$4,064	$894.08	—	—	—
MRI abdomen without contrast	CPT	74181	0	$2,643	$581.46	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$3,778	$831.16	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$490	$107.8	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$545	$119.9	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$732	$161.04	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$730	$160.6	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$515	$113.3	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,231	$270.82	—	—	—
Transvaginal ultrasound	CPT	76830	0	$406	$89.32	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$612	$134.64	—	—	—
Scrotal ultrasound	CPT	76870	0	$612	$134.64	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$367	$80.74	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$468	$102.96	—	—	—
Screening mammography bilateral	CPT	77067	0	$388	$85.36	—	—	—
EKG tracing only	CPT	93005	0	$118	$25.96	—	—	—
EKG interpretation only	CPT	93010	0	$43	$9.46	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,253	$495.66	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$987	$217.14	—	—	—
Stress echocardiogram	CPT	93350	0	$823	$181.06	—	—	—
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	0	$133,347	$29,336	—	—	—
COPD w MCC	MS-DRG	190	0	$47,005	$10,341	—	—	—
COPD w CC	MS-DRG	191	0	$55,118	$12,126	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	$22,391	$4,926.07	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	$47,281	$10,402	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	$27,139	$5,970.65	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	$334,962	$73,692	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	$105,316	$23,169	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	$54,642	$12,021	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	$155,587	$34,229	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	$71,890	$15,816	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	$45,905	$10,099	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	$145,163	$31,936	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	$227,494	$50,049	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	$32,500	$7,150.03	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	$95,171	$20,938	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	$32,855	$7,228.06	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	$56,577	$12,447	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	$64,518	$14,194	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	$83,142	$18,291	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	$63,192	$13,902	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	$135,282	$29,762	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	$74,416	$16,372	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$194	$42.68	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$118	$25.96	—	—	—
Electrolyte panel	CPT	80051	0	$45	$9.9	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$83	$18.26	—	—	—
Lipid panel	CPT	80061	0	$84	$18.48	—	—	—
Renal function panel	CPT	80069	0	$73	$16.06	—	—	—
Hepatic function panel	CPT	80076	0	$53	$11.66	—	—	—
Urinalysis non-automated	CPT	81002	0	$15	$3.3	—	—	—
Urinalysis automated	CPT	81003	0	$31	$6.82	—	—	—
Glucose quantitative	CPT	82947	0	$34	$7.48	—	—	—
Hemoglobin A1c	CPT	83036	0	$77	$16.94	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$155	$34.1	—	—	—
Complete blood count with automated differential	CPT	85025	0	$60	$13.2	—	—	—
Complete blood count without differential	CPT	85027	0	$48	$10.56	—	—	—
Urine culture bacterial	CPT	87086	0	$68	$14.96	—	—	—
Urine culture identification	CPT	87088	0	$58	$12.76	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$578	$127.16	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$586	$128.92	—	—	—
Routine obstetric care including vaginal delivery	CPT	59400	0	$3,567	$784.74	—	—	—
Vaginal delivery only	CPT	59409	0	$8,882	$1,954.04	—	—	—
C-section delivery only	CPT	59514	0	$2,678	$589.16	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$158	$34.76	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$166	$36.52	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$175	$38.5	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$184	$40.48	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$125	$27.5	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$132	$29.04	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$139	$30.58	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$146	$32.12	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$154	$33.88	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$2,890	$635.8	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,890	$635.8	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$2,025	$445.5	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$2,025	$445.5	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$3,067	$674.74	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$3,067	$674.74	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$3,067	$674.74	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$118,763	$26,128	—	—	—
Hip hemiarthroplasty	CPT	27125	0	—	—	—	—	—
Total hip replacement	CPT	27130	0	$88,717	$19,518	—	—	—
Total knee replacement	CPT	27447	0	$79,930	$17,585	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$92,562	$20,364	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$140,807	$30,978	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$58,519	$12,874	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$85,497	$18,809	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$36,237	$7,972.09	—	—	—
ACL reconstruction	CPT	29888	0	$91,358	$20,099	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	$384,955	$84,690	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	$249,802	$54,957	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	$180,960	$39,811	—	—	—
CABG single arterial graft	CPT	33533	0	—	—	—	—	—
CABG 2 arterial grafts	CPT	33534	0	—	—	—	—	—
CABG 3 arterial grafts	CPT	33535	0	—	—	—	—	—
CABG 4+ arterial grafts	CPT	33536	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	$141,440	$31,117	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	$103,497	$22,769	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	$314,091	$69,100	—	—	—
Open appendectomy	CPT	44950	0	$82,006	$18,041	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$59,050	$12,991	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	$256,581	$56,448	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	$234,822	$51,661	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$15,424	$3,393.28	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$94,215	$20,727	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	$307,401	$67,628	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	$257,016	$56,543	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	$216,580	$47,648	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$70,900	$15,598	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$6,082	$1,338.04	—	—	—
Vaginal hysterectomy	CPT	58260	0	$128,777	$28,331	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	—	—	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$77,076	$16,957	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$68,989	$15,178	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	$309,626	$68,118	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	$166,940	$36,727	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	$124,759	$27,447	—	—	—
Complex cataract surgery	CPT	66982	0	$27,219	$5,988.25	—	—	—
Cataract surgery with lens implant	CPT	66984	0	$25,847	$5,686.29	—	—	—
Intravitreal injection	CPT	67028	0	$1,652	$363.44	—	—	—
Vitrectomy mechanical	CPT	67042	0	$34,295	$7,544.81	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	$126,156	$27,754	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	$114,635	$25,220	—	—	—
PCI single major coronary artery	CPT	92920	0	$26,616	$5,855.52	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$40,425	$8,893.5	—	—	—
PCI bypass graft	CPT	92937	0	$40,425	$8,893.5	—	—	—
Left heart catheterization	CPT	93452	0	$21,189	$4,661.58	—	—	—
Coronary angiography with cath	CPT	93455	0	$21,189	$4,661.58	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$21,189	$4,661.58	—	—	—